Provider Demographics
NPI:1144344722
Name:ROBISON, AMBER REI (LCSW)
Entity type:Individual
Prefix:MRS
First Name:AMBER
Middle Name:REI
Last Name:ROBISON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:AMBER
Other - Middle Name:REI
Other - Last Name:KITO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:2005 W 235TH ST
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90501-5811
Mailing Address - Country:US
Mailing Address - Phone:310-530-0799
Mailing Address - Fax:
Practice Address - Street 1:439 W. 97TH ST.
Practice Address - Street 2:CENTRAL CENTER
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90003
Practice Address - Country:US
Practice Address - Phone:323-754-2856
Practice Address - Fax:323-754-1843
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHOP3012OtherSTAFF CODE